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Jones Hall - Insurance Certificates®® CERTIFICATE OF LIABILITY INSURANCE / Y) DATE ( 10/05/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Certain policies may require an endorsement A statement on this Certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Nanette Murata NAME Calender- Rcbinson Company, Inc HONNo =,, (415)978 -3800 A /C, 1.) (415)978 -3825 FB0267063 ADDRESS nmurata @calrob com 300 Montgomery St, Suite 888 INSURER(S) AFFORDING COVERAGE NAIC # San Francisco CA 94104 INSURER A Sentinel Insurance Co , LTD 11000 INSURED INSURERS Republic Indemnity Co of America 22179 Jones Hall, a Professional Law Corporation INSURER C MED EXP (Any one person) 650 California Street, #1800 INSURER D INSURER E San Francisco CA 94108 INSURER F COVERAGES CERTIFICATE NUMBER: 2017 -2018 Renewal REVISI6N NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD MMIDDI P LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ 2,000,000 PREMISES Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 2,000,000 A Y 57SBANK7611 10/01/2017 10/0112018 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY ❑ JEa ❑ LOC GENERAL AGGREGATE $ 4,000'000 PRODUCTS - COMP /OP AGG $ 4,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 57SBANK7611 10/01/2017 10/01/2018 BODILY INJURY (Per accident) S HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X PROPERTY DAMAGE Par.cadent $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE 57SBANK7611 10/01/2017 10/01/2016 DED I XJ RETENTIONS 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? Mandatory In ( l yes, desrnbe and under DESCRIPTION OF OPERATIONS below NIA 168749 -12 04/01/2017 04/01/2018 PER OTH- X STATUTE I I ER EL EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYEE $ 1,000,000 E L DISEASE - POLICY LIMIT S 1,000,000 EMPLOYEE BENEFITS EACH CLAIM $2,000,000 A 57SBANK7611 10/01/2017 10/0112018 AGGREGATE $4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Adddronal Remarks Schedule, may be attached if more space is required) Re Covered Loa Deer Park CFD City of Gilroy Is named as additional Insured as per the attached endorsement - NOTE 10 day notice of cancellation for non - payment of premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Named Insured Jones Hall, A Professional Law Corporation Policy Number 57SBANK7611 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED Additional Insureds When Required By Written Contract, Written Agreement Or Permit 6. Additional Insureds When Required By Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a through f below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other party or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf. (a) In the performance of your ongoing operations, (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products - completed operations hazard ", but only if- (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products - completed operations hazard ". (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to, "Bodily Injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including (a) The preparing, approving, or failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawing specifications, or (b) Supervisory, inspection, architectural or engineering activities E.7.b. (7) b. Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance 8. Transfer Of Rights Of Recovery Against Others To Us b. Waiver of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. Form SS 00 08 04 05 ACC) ®® CERTIFICATE OF LIABILITY INSURANCE DATE( YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 10/05/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME CONTACT Nanette Murata Calender- Robinson Company, Inc A/C, NE Ext (415)978 -3800 AIC, No (415)978 -3825 FB0267063 ADDRESS nmurata@calrob com INSURER(S) AFFORDING COVERAGE NAIC A 300 Montgomery St. Suite 888 San Francisco CA 94104 INSURER A Sentinel Insurance Co, LTD 11000 INSURED INSURER B Republic Indemnity Co of Amenca 22179 Jones Hall, a Professional Law Corporation INSURER C 650 California Street, #1800 INSURER D INSURER E San Francisco CA 94108 INSURER F PERSONAL BADVINJURY COVERAGES CERTIFICATE NUMBER: 2017 -2018 Renewal REVISION NtIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID_ CLAIMS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD IYYYYI (MMiDD/YYYYJ LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR EACH OCCURRENCE s 2,000,000 PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 2,000,000 A Y 57SBANK7611 10/0112017 10/01/2018 GEN'L AGGREGATE LIMIT APPLIES PER PRO- X POLICY ❑ PRO- ❑ JECT LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP /OP AGG $ 4,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident s 2,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 57SBANK7611 10/01/2017 10/01/2018 Ix BODILY INJURY (Per accident) $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS UAB CLAIMS -MADE 57SBANK7611 10/01/2017 10/01/2018 DED X RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 168749 -12 04/01/2017 04/01/2018 X STATUTE ERH EL EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 E L DISEASE - POLICY LIMIT $ _1,000,000 EMPLOYEE BENEFITS EACH CLAIM $2,000,000 A 57SBANK7611 10/01/2017 10/01/2018 AGGREGATE $4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, Its officers, officials and employees are named as additional Insureds on the general liability policy but only with respect to liability ansing out of the named Insured'$ operations or premises owned by or rented to the named Insured with respect to formation of a landscape maintenance community facilities district Note 10 day notice of cancellation applies for non - payment of premium a.cn t rrl .m SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy Attn Teresa Mack ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 95020 I ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Named Insured- Jones Hall, A Professional Law Corporation Policy Number 57SBANK7611 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED Additional Insureds When Required By Written Contract, Written Agreement Or Permit 6. Additional Insureds When Required By Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a through f below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit f. Any Other Party (1) Any other party or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you, or (c) In connection with "your work" and included within the "products- completed operations hazard ", but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard" (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to "Bodily Injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including. (a) The preparing, approving, or failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawing specifications, or (b) Supervisory, inspection, architectural or engineering activities E.7.b. (7) b. Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance 8. Transfer Of Rights Of Recovery Against Others To Us b. Waiver of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage Form SS 00 08 04 05 A�� L® CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 3/30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Calender- Robinson Company, Inc. FB0267063 300 Montgomery St., Suite 888 San Francisco CA 94104 CONTACT Katherine Berkman NAME: PHONE EI (415) 978 -3800 No: (415) 978 -3825 E-MAIL ADDRESS: kberkman @calrob.com INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:Sentinel Insurance Co. LTD 11000 INSURED Jones Hall, a Professional Law Corporation 475 Sansome Street Suite 1700. San Francisco CA 94111 INSURER B.Re ublic Indemnity Co of America COMMERCIAL GENERAL LIABILITY INSURER C: INSURER D: INSURER E: EACH OCCURRENCE INSURER F: A COVERAGES CERTIFICATE NUMBER:CL1733018299 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 'ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AD L SUBR POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE F OCCUR DAMAGETO. cl PREMISES Ea occurrence $ 1,000 000 MED EXP (Any one person) $ 10,000 57SBANK7611 10/1/2016 10/1/2017 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY PRO ❑ LOC JECT PRODUCTS - COMP /OP AGG $ 4,000,000 UEBL $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per, person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 57SB11 611 K 10/1/2016 10/1/2017 BODILY INJURY (Per accident) $ • NON -OWNED 'HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ • UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 ::]_EXCESS AGGREGATE $ 1,000,000 A LIAB CLAIMS -MADE DED X I RETENTION 10,000 $ 57SEANK7611 10/1/2016 10/1/2017 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N / A 168749 -12 4/1/2017 4/1/2018 X PER OTH- 'STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If. es, describe under DESCRIPTION OF-OPERATIONS below E.L. DISEASE - POLICY'LIMIT Is 1,000,000 A EMPLOYEE BENEFITS 57SBANK7611 10/1/2016 10/1/2017 EACH CLAIM: $2,000,000 AGGREGATE: $4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Gilroy, its officers, officials and employees are named as additional insureds on the general liability policy but only with respect to liability arising out of the named insured's operations or premises owned by or rented to the named insured with respect to formation of a landscape maintenance community facilities district. Note: 10 day notice of cancellation applies for non - payment of premium City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 VION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED Jennylyn Casilla /JEN'�1"'�1L°'" ©1988 -2014 ACORD ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025,15101401 r ti r I•... ACORN0 �, CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 3/30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Katherine Berkman NAME: PHONE (415) 978-3800 a No: (415)978 -3825 Calender- Robinson Company, Inc. FB0267063 E -MAIL ADDRESS: kberkman @calrob.com INSURERS AFFORDING COVERAGE NAIC# 300 Montgomery St., Suite 888 INSURERA:Sentinel Insurance Co. LTD 11000 San Francisco CA 94104 INSURED INSURERB Republic Indemnity Co of America CLAIMS -MADE � OCCUR INSURERC: Jones Hall, a Professional Law Corporation INSURER D: 475 Sansome Street INSURER E: $ 1,000,000 Suite 1700 INSURER F: $ 10,000 San Francisco CA 94111 COVERAGES CERTIFICATE NUMBER:CL1733018299 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE, LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A R POLICY NUMBER MM/DD� MM /DDS LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,006,000 A CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 57SBANK7611 10/1/2016 10/1/2017 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4 , 000 , 000 PRO X POLICY JECT LOC PRODUCTS - COMP /OPAGG $ 4,000,000 UEBL $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2 , 000 , 000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 57SEANK7611 10/1/2016 10/1/27 01 BODILY eracc ) $ X X NON -OWNED HIRED AUTOS AUTOS Pea R tDAMAGE $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ .1 000 000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,000 $ 157SBANK7611 10/1/2016 10/1/2017 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N' ANY PROPRIETOR/PARTNER/EXECUTIYE ''OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 168749 -12 4/1/2017 4/1/2018 R PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yyes, describe under :DESCRIPTION.OF OPERATIONS. below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A EMPLOYEE BENEFITS 57SBANK7611 10/1/2016 10/1/2017 EACH CLAIM: $2,000,000 AGGREGATE: $4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: Covered Loc. Deer Park CFD City of Gilroy is named as additional insured as per the attached endorsement - NOTE: 10 day notice of cancellation for non - payment of premium sandra.meditch @ci.gi.lroy.c City of Gilroy Attn: Sandra A. Meditch, P.E. 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE Jennylyn Casilla /JEN „owi.— 14 ACORD ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (gm4ni i 'I- �, CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDNYYY) 3/30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Katherine Berkman PHONE (415) 978 -3800 arc No: (415) 978 -3825 Calender- Robinson Company, Inc. E -MAIL ADDRESS: kberkman @calrob.com F80267063 INSURER(S) AFFORDING COVERAGE NAIC # 300 Montgomery St., Spite 888 INSURERA:Sentinel Insurance Co. r LTD 11000 San Francisco CA 94104 INSURED INSURER B Re ubl.c Indemnity Co of America CLAIMS MADE OCCUR INSURER C: Jones Hall, a Professional Law Corporation INSURER D: 475 Sansome Street INSURER E: $ 1, 000 , 000 Suite 1700 INSURER F: $ 10,000 San Francisco CA 94111 COVERAGES CERTIFICATE NUMBER.-CL1733018299 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY _PAID CLAIMS. INSR LTR TYPE OF INSURANCE A DL UBR POLICY NUMBER POLICY EFF MM /DD/Y POLICY EXP MM DD/WYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1, 000 , 000 MED EXP (Any one person) $ 10,000 57SBANK7611 10/1/2016 10/1/2017 PERSONAL BADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X PRO - JECT POLICY PRO ❑ LOC PRODUCTS - COMP /OP AGG $ 4,000,000 UEBL $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS 57SBANK7611 10/1/2016 10/1/2017 BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident 1 $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,000 $ 57SBANK7611 10/1/2016 10/1/2017 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) K es, deschbe under _ DESCRIPTION OF OPERATIONS below N/A 168749 -12 4/1/2017 4/1/2018 PER OTH- X STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 A EMPLOYEE BENEFITS 57SEANK7611 10/1/2016 10/1/2017 EACH CLAIM: $2,000,000 AGGREGATE: $4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Gilroy is named as additional insured per the attached endorsement. *10 -Day Notice of Cancellation Applies for Non - Payment of Premium. VCR I Ir i%,P% l C n%jL_L r_r% k ANN rLLA I.IUN Teresa.mack @ci.gilroy.ca.0 City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED Jennylyn Casilla /JEN a- i'"oud- All rights reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (9nunl l ACCORD® CERTIFICATE OF LIABILITY INSURANCE. DATE (MM/DDNYYY) 9/26/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Calender- Robinson Company, Inc. PB0267063 300 Montgomery St., Suite 888 San Francisco CA 94104 CONTACT Sarah Sta. Ana NAME: _ - PHONE ( 415) 978 -3800 FAX No; (415) 978 -3825 Etl: EMAIL ADDRESS: sstaana @calrob.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Sentinel Insurance Co. LTD 11000 INSURED Jones Hall, a Professional Law Corporation 475 Sansome Street Suite 1700 San Francisco CA 94111 INSURER B Re ublic Indemnity Cc of America COMMERCIAL GENERAL LIABILITY INSURER C: INSURER D: INSURER E: EACH OCCURRENCE INSURER F: A COVERAGES CERTIFICATE NUMBER:2016 -2017 Renewal REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MWDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2,000,000 $ A CLAIMS -MADE ❑X OCCUR DAMAGE TO NTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 57SBANK7611 10/1/2016 10/1/2017 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO- JECT ❑ LOC PRODUCTS - COMP /OP AGG $ 4 , 000 , 000 UEBL $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 2,000,000 BODILYINJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 57SBANK7611 10/1/2016 10/1/2017 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Peraccider t $ X UMBRELLA LU1B X OCCUR EACH OCCURRENCE $ 11000,000 AGGREGATE $ 1,0004000 A EXCESS LIAB CLAIMS -MADE DED . X I RETENTION$ 10,000 $ 57SBANK7611 10/1/2016 10/1/2017 B WORKERS COMPENSATION AND +EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) N/A 168749 -11 4/1/2016 4/1/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYE $ 11000,000 M yes, describe under �DESCRIPTIONOF OPERATIONS below E.L. DISEASE - :POLICY LIMIT - - ,.$ 1,000,000 A EMPLOYEE BENEFITS 57SEANK7611 10/1/2016 10/1/2017 EACH CLAIM 2,000,000 AGGREGATE 4,000,000 6ks6m Moo N OF ORERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: Covered Loc. Deer Park CFD City of Gilroy is named as additional insured as per the attached endorsement - NOTE: 10 day notice of cancellation for non - payment of premium 1 r- MULUtK sandra.meditch @ci.gilroy.c City of Gilroy Attn: Sandra A. Meditch, P.E. 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Sarah Sta.Ana /ANG JEaA.QJ) f*A2" ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 /gm4nt ) Named Insured: Jones Hall, A Professional Law Corporation Policy Number: 57SBANK7611 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED Additional Insureds When Required By Written Contract, Written Agreement Or Permit 6. Additional Insureds When Required By Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a through f below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other party or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage' or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard ", but only if: (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included Within the "products- completed operations hazard ". (2) With respect to the insurance afforded to these- additional insureds, this insurance does not apply to: "Bodily Injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawing specifications; or (b) Supervisory, inspection, architectural or engineering activities Form SS 0008 04 05 ACOR® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 1 9/26/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Calender- Robinson Company, Inc. FB0267063 300 Montgomery St., Suite 888 San Francisco CA 94104 CONTACT Sarah Sta. Ana NAME: PHDN o (415) 978 -3800 (A/C No: (415)978 -3825 E-MAIL ADDRESS: sstaana @calrob.com INSURERS AFFORDINGCOVERAGE NAIC# INSURER A .Sentinel Insurance Co. LTD 11000 INSURED Jones Hall, a Professional Law Corporation 475 Sansome Street Suite 1700 San Francisco CA 94111 INSURERBRe ublic Indemnity Co of America COMMERCIAL GENERAL LIABILITY INSURER C: INSURER O: INSURE RE: EACH OCCURRENCE INSURER F: A COVERAGES CERTIFICATE NUMBER2016 -2017 Renewal REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYpE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MM /DD POLICY EXP MM /DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS MADE ❑X OCCUR ED PREM SES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 57SBANK7611 10/1/2016 10/1/2017 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRO - POLICY 7 PRO ❑ LOC PRODUCTS - COMP /OP AGG $ 4,000,000 UEBL $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 57SBANK7611 10/1/2016 10/1/2017 BODILY INJURY (Per accident) . $ X PROPERTY accident) DAMAGE $ X NON -OWNED HIRED AUTOS AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAR CLAIMS -MADE DED I X I RETENTION$ 10,000 $ 57SBANK7611 10/1/2016 10/1/2017 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE X PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 168748 -11 4/1/2016 4/1/2017 E.L. DISEASE - EA EMPLOYE $ 1,000,000 M yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 A EMPLOYEE BENEFITS 57SBANK7611 10/1/2016 10/1/2017 EACH CLAIM 2,000,000 AGGREGATE 4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers, officials and employees are named as additional insureds on the general liability policy but only with respect to liability arising out of the named insured's operations or premises owned by or rented to the named insured with respect to formation of a landscape maintenance community facilities district. Note: 10 day notice of cancellation applies for non - payment of premium CERTIFICATE HOLDER City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 ACORD 26 (2014101) INS025 (201401) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Sarah Sta.Ana /ANG f &tAI.4Zh f C 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD } z Named Insured: Jones Hall, A Professional Law Corporation Policy Number: 57SBANK7611 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED Additional Insureds When Required By Written Contract, Written Agreement. Or Permit 6. Additional Insureds When Required By Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a through f below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additionall insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other party or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard ", but only if: (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard ". (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily Injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawing specifications; or (b) Supervisory, inspection, architectural or engineering activities Form SS 00 08 04 05 °® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDNYYY) 9/26/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Calender- Robinson Company, Inc. FB0267063 300 Montgomery St., Spite 888 San Francisco CA 94104 CONTACT Sarah Sta. Ana NAME: (PA HON o (415) 978 -3800 a No: (a1s)97e -3825 E-MAIL sstaana @calrob.com -ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:Sentinel Insurance Co. LTD 11000 INSURED Jones Ball, a Professional. Law Corporation 475 Sansome Street Suite 1700 San Francisco CA 94111 INSURER BRe ublic Indemnity Co of America COMMERCIAL GENERAL LIABILITY INSURER C: INSURER D: INSURER E: EACH OCCURRENCE INSURER F: A COVERAGES CERTIFICATE'NUMBER:2016 -2017 Renewal REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING.ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ,RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE A B POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM /DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE 7 OCCUR PREMISES DAMAGE 0 NTED PREMISES Ea occurrence $ j_, 000, 000 MED EXP (Any one person) $ 10,0010 57SBANK7611 10/1/2016 10/1/2017 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO JECT LOC PRODUCTS - COMP /OPAGG $ 4,000,000 UEBL $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2 000 000 BODILY INJURY (Per person) $ ANY AUTO A BODILYINJURY (Per accident) $. ALL OWNED SCHEDULED AUTOS AUTOS 57SBANK7611 10/1/2016 10/1/2017 X Pe�acc X NON -OWNED HIRED AUTOS AUTOS dentDAMAGE $, X UMBRELLA LIAB X OCCUR EACROCCURRENCE t 1,0 0 000 AGGREGATE $ 1 000 000 A EXCESS LIAB CLAIMS -MADE DED I jk I RETENTION$ 10,000 $ 57SEANK7611 10 /1/2016 10/1/2017 WORKERS COMPENSATION X PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY Y / N - ANY., PROPRIETOR/PARTNER /EXECUTIVE 'OFFICER/MEMBER' E.L. EACH, ACCIDENT $ 1,000,000 EXCLUDED? ❑ N / A E.L. DISEASE -EA EMPLOYEE $ 1,000,000 B (Mandatory in NH) 168749 -11 4/1/2016 4/1/2017 If yes, describe under .DESCRIPTION OF OPERATIONS below E.L. DISEASE -- POLICY LIMIT $ - 1 i000,000 A EMPLOYEE BENEFITS 57SBANK7611 10/1/2016 10/1/2017 EACH CLAIM 2,000,000 AGGREGATE 4,:000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy is named as additional insured per the attached endorsement. *10 -Day Notice of Cancellation Applies for Non - Payment of Premium. GERTIFIGATE HOLDER Teresa.mack @ci.gilroy.ca.0 City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Sarah Sta.Ana /ANG ]°`a-jLQ'h IT'-'- ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 0014ni r Named Insured: Jones Hall, A Professional Law Corporation Policy Number: 57SBANK7611 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED Additional Insureds When Required By Written Contract, Written Agreement Or Permit 6. Additional Insureds When Required By Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a through f below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other party or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products - completed operations hazard ", but only if: (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard ". (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily Injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawing specifications; or (b) Supervisory, inspection, architectural or engineering activities Form SS 00 08 04 05 CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 4/1M2D16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER., THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Calender- Robinson Company, Inc. FB0267063 300 Montgomery St., Suite 888 San Francisco CA 94104 CONTACT Nenette Murata NAME: PHONnE Ext. (415) 978 -3800 No: (415)978 -3825 E -MAIL nmurata @calrobc.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:Sentinel Insurance Co. LTD 11000 INSURED Jones Hall, a Professional Law Corporation 475 Sansome Street, Suite 1700 .San Francisco CA 94111. ..-INSURER INSURER B:Re ublic Indemnity Co of America COMMERCIAL GENERAL LIABILITY INSURER C: INSURER D: INSURER E: EACH OCCURRENCE F: A COVERAGES CERTIFICATE NUMBER:CL164115393 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF IN LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEE_ N REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD/YWY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE � OCCUR DAMAGE O D PREMISES Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 57SBANK7611 10/1/2015 10/1/2016 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY E PRO JECT LOC PRODUCTS - COMP /OP AGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COEa MBINED accident) SINGLE 'LIMIT $ 2,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL TOS OS AUTOS SCHEDULED AU 57SBANK7611 10/1/2015 10/1/2016 BODILY INJURY (Per accident) $ PPRar OPPEERdT DAMAGE NON -OWNED HIRED AUTOS AUTOS g X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 �D] AGGREGATE $ 1,000,000 A XCESS LIAB CLAIMS -MADE D %__RETENTION$_ 10 000 g 57SBANK7611 10/1/2015 10/1/2016 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE X PER OTH- STATUTE I ER E.L EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N/A 168749 -11 4/1/2016 4/1/2017 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, . describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A EMPLOYEE BENEFITS 57SBANK7611 10/1/2015 10/1/2016 EACH CLAIM $2,000,000 AGGREGATE $4,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers, officials and employees are named as additional insureds on the general liability policy but only with respect to liability arising out of the named insured's operations or premises owned by or rented to the named insured with respect to formation of a landscape maintenance community facilities district. Note: 10 day notice of cancellation applies for non - payment of premium CtK I IF ICA I E MULUEK CANCELLATION City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jennylyn Casilla /JEN ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) COMMENTS /REMARKS BUSINESS PERSONAL PROPERTY - $1,045,000 POLICY NUMBER: 57SBANK7611 EFFECTIVE DATE: 10/01/2015 - 10/01/2016 OFREMARK COPYRIGHT 2000, AMS SERVICES INC. 9 .a► ° ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDfYYYY) 4/1/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Calender- Robinson Company, Inc. FB0267063 300 Montgomery St., Suite 888 San Francisco CA 94104 CONTACT NAME: Nenette Murata A N Ext: (415) 978 -3800 No: (415) 978 -3825 E -MAt nmurata @calrobc.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL INSURERA:Sentinel Insurance Co. LTD 11000 INSURED Jones Hall, a Professional Law Corporation 475 Sansome Street, Suite 1700 .San Francisco CA 94111 INSURER B:Re ublic Indemnity Co of America COMMERCIAL GENERAL LIABILITY INSURERC: INSURER D: INSURER E: EACH OCCURRENCE .INSURER F: A COVERAGES CERTIFICATE NUMBER:CL164115393 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMlDDlYYYY POLICY EXP MMlDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMSMADE x OCCUR D PRAEM SES Ea occurrence $ 1,000,000 MEDEXP (Any one,person) $ 10,000 57SBANK7611 10/1/2015 10/1/2016 PERSONAL & ADV INJURY $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO- JECT LOC PRODUCTS- COMP /OPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COEaMBINED accident SI NGLE IS $ 2,,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 57SBANK7611 10/1/2015 10/1/2016 BODILY INJURY (Per accident) $ X PPR�OPPEERdTT rnDAMAGE NON -OWNED HIRED AUTOS X AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000'.000 A EXCESS LIAB CLAIMS -MADE DED- RETENTION$ 10,000 $ 57SBANK7611 10/1/2015 10/1/2016 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N X I PER 0TH - STATUTE OR E.L. EACH. ACCIDENT $ 1,000,000 B ANY PROPRIETOWPARTNER/EXECUI— OFFICER/MEMBER EXCLUDED? (Mandatory inNH) 168749 -11 4/1/2016 4/1/2017 E.L. DISEASE - EA EMPLOYEE $ 1,000"000 If yes, . describe under - - -- - DESCRIPTION OF OPERATIONS below E.L. DISEASE.- POLICY LIMIT $ 1,000,000 A EMPLOYEE BENEFITS 57SBANK7611 10/1/2015 10/1/2016 EACH CLAIM $2,000,000 AGGREGATE $4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS [VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Covered Loc. Deer Park CFD :City of Gilroy is named as additional insured as per the attached endorsement - NOTE: 10 day notice of cancellation for non - payment of premium sandra.meditch @ci.gilroy.c City of Gilroy Attn: Sandra A. Meditch, P.E. 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jennylyn Casilla /JEN �rt. ©1988 -2014 ACORD ACORD 35 (2014/01) The ACORD. name and logo are registered marks of ACORD INS025 (201401) COMMENTS /REMARKS BUSINESS PERSONAL PROPERTY - $1,045,000 POLICY NUMBER: 57SBANK7611 EFFECTIVE DATE: 10/01/2015 - 10/01/2016 I OFREMARK COPYRIGHT 2000, AMS SERVICES INC. A� R ®® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)_ 4/1/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Calender- Robinson Company, Inc. FB0267063 300 Montgomery St., Suite 888 San Francisco CA 94104 CONTACT NAME: Nenette Murata AX PHCN o . (415) 978 -3800 n/c No: (415) 978 -3825 E -MAIL ADDRESS: nmurata @calrobc.com INSURE S) AFFORDING COVERAGE NAIC# INSURERA:Sentinel Insurance Co. LTD 11000 INSURED Jones Hall, a Professional Law Corporation 475 Sansome Street, Suite 1700 San Francisco CA 94111 INSURER B :Re ublic Indemnity Cc of America COMMERCIAL GENERAL LIABILITY INSURERC: INSURER D: INSURER E: EACH OCCURRENCE INSURER F: A COVERAGES CERTIFICATE NUMBER:CL164115393 REVISION, NUMBER: - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES 'DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM /DD/WYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE 7 OCCUR PREMISES SES (Ea RENTED occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 57SBANK7611 10/1/2015 10/1/2016 PERSONAL & ADV INJURY $ 2,.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO ❑ LOC JECT PRODUCTS - COMP /OP AGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - Ea accident $ —2,0600,60-0- 000 , 000 _ BODILY INJURY (Per person) $ A ANY AUTO A OVMIED SCHEDULED AUTOS AUTOS 57SBANK7611 10/1/2015 10/1/2016 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS $ X UMBRELLA LIM X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LJAB CLAIMS -MADE DED X RETENTION$ 10,000 $ 57SBANK7611 10/1/2015 10/1/2.016 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X PER OTH STATUTE ER ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 B OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A 168749 -11 4/1/2016 4/1/2017 E.L. DISEASE - EA EMPLOYE $ 1 000 000 If yes, . describe under DESCRIPTION OF OPERATIONS below - E.L. DISEASE - POLICY LIMIT $ 1,000,000 A EMPLOYEE BENEFITS 57SBANK7611 10/1/2015 10/1/2016 EACH CLAIM $2,000,000 AGGREGATE $4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy is named as additional insured per the attached endorsement. *10 -Day Notice of Cancellation Applies for Non- Payment of Premium. CERTIFICATE HOLDER CANCELLATION Teresa.mack @ci.gil.roy.ca.0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn : Teresa Mack ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE Jennylyn Casilla /JEN 'Cw��rrs.. ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401 COMMENTS /REMARKS BUSINESS PERSONAL PROPERTY - $1,045,000 POLICY NUMBER: 57SBANK7611 EFFECTIVE DATE: 10/01/2015 - 10/01/2016 I OFREMARK COPYRIGHT 2000, AMS SERVICES INC. I A °® CERTIFICATE OF LIABILITY INSURANCE 10 /6 2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Calender - Robinson Company, Inc. FB0267063 300 Montgomery St., Suite 888 San Francisco CA 94104 CONTACT Sarah Sta. Ana NAME: PHONE (415) 978 -3800 FAX (415)978 -3825 ugrrzss:ostaana@calrob.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Sentinel Insurance Co., LTD 11000 INSURED JONES HALL, A PROFESSIONAL LAW CORPORATION 650 CALIFORNIA STREET, #1800 SAN FRANCISCO CA 94108 INSURER B :Re ubl i c Indemnity Co of Amer. 22179 INSURERC: INSURER D: EACH OCCURRENCE INSURER E.: DAMAGE TO RENTE PREMISES (Ea occurDrence) INSURER F: A COVERAGES CERTIFICATE NUMBER:2015 -2016 Renewal Certs. REVISION NUMBER: THIS .IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED 'HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN. MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AD R SUER POLICY NUMBER MMIDDDY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTE PREMISES (Ea occurDrence) $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_] OCCUR 57SBANK7611 10/1/2015 10/1/2016 MEDEXP (Any one person , $ 10,000 &ADV INJURY $ 2,000,000 -PERSONAL GENERAL AGGREGATE $ 4,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 4,000,000 $ X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acci .," 2,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 57SBANK7611 10/1/2015 10/1/2016 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ • X NON -OWNED HIRED AUTOS AUTOS $ • UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAR CLAIMS -MADE DED RETENTION . 10,00 $- 57SBANK7611 10/1/2015 10/1/2016 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE WC STATU OTH- X DRY L" E.L. EACH - ACCIDENT $ 1,000,000 B MFandato mNH EXCLUDED? ( ry I ) NIA 168749 -1D /1/2015 /1/2016 E.L. DISEASE - EA EMPLOYE $ 1 000 000 If Yes, describe under - DESCRIPTION OF OPERATIONS below E.L. DISEASE • - POLICY LIMIT $ 1 000, 0.00 A EMPLOYEE BENEFITS 57SBANK7611 10/1/2015 10/1/2016 EACH CLAIM $2,000,000 AGGREGATE $4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Gilroy is named as additional insured per the attached endorsement. *10 -Day Notice of Cancellation Applies for Non - Payment of Premium. CERTIFICATE.HULDER Teresa.mack @ci.gilroy.ca.0 City of Gilroy Attn: Teresa Mack 7351 Rosanna Street. Gilroy, CA 95020 ACORD 25 (2010105) INS025 (201005).01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE. EXPIRATION DATE THEREOF, 'NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED' REPRESENTATIVE Sarah Sta.Ana /SSA 'Rai - W PC- 6Aa ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Named Insured: Jones Hall, A Professional Corporation Policy Number: 57SBANK7611 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED Additional Insureds When Required By Written Contract, Written Agreement Or Permit 6. Additional Insureds When Required By Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a through f below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other party or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work' and included within the "products- completed operations hazard ", but only if: (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products - completed operations hazard ". (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily Injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or - surveying services, including: (a) The preparing, approving, or failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawing specifications; or (b) Supervisory, inspection, architectural or engineering activities Form SS 00 08 04 05 '4� °® CERTIFICATE OF LIABILITY INSURANCE X0 /6/2015 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement (s). PRODUCER Calender- Robinson Company, Inc. FB0267063 300 Montgomery St., Suite 888 San Francisco CA 94104 CONTACT Sarah Sta. Ana NAME: PHONE (¢15)978-3800 FAX (4.1.5)978 -3825 E-MAIL .sstaana@calrob.com INSURERS AFFORDING COVERAGE NAIC0 INSURERA:Sentinel. Insurance Co., LTD 11000 INSURED JONES HALL, A PROFESSIONAL LAW CORPORATION 650 CALIFORNIA STREET, #1800 SAN FRANCISCO CA 94108 INSURER B:RE ublic Indemnity Co of Amer. 22179 INSURERC: . INSURERD: INSURER E: $ 2,000,000 INSURER F: _ X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR COVFRASIPS CFRTIFICOTF NIIMRFRr2U15 -2016 Renewal Certs. RFVI -glnN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRR TYPE OF INSURANCE ADD R POLICY NUMBER POLICY EFF POLICY I I EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 57SBMK7611 10/1/2015 10/1/2016 PRE I ESE E T RENTED REM n $ 1,000,000 MED EXP (Any one person $ 10,000 PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'LAGGREGATELIMIT APPLIES PER! PRODUCTS - COMP/OP AGG $ 4,000,000 X, POL ICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 57SBANK7611 10/1/2015 10/1/2016 BODILY INJURY (Per accident), $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1, 000, _000 AGGREGATE $ 1,000,000 A EXCESS LIAR CLAIMS -MADE _DIED X 1 RETENTION$ 10,00 $ 5- 7SBANK7611 10/1/2018 10/1/2016 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY .PROPRIETOR /PARTNER /EXECUTIVE ❑ (Mandatory In EXCLUDED? ( ry ) NIA 168749 -10 /1/2015 /1/2016 X I WC STATU- I OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEq $ 1,000,000 If yyes, describe under DESCRIPTION OF OPERATIONS below - E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 A EMPLOYEE BENEFITS 57SBMZ7611 10/1/2015 10/1/2016 EACH CLAIM $2,000,000 AGGREGATE $4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Gilroy, its officers, officials and employees are named as additional insureds on the general liability policy but only with respect to liability arising out of the named insured's operations or premises owned by or rented to the named insured with respect to formation of a landscape maintenance community facilities district. Note: 10 day notice of cancellation applies for non - payment of premium t;tK I II-IL;A 1 t MULUtK CANCELLATION City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Sarah Sta.Ana /SSA ©1 0 ACORD INS025 (201005).01 The ACORD name and logo are registered marks of ACORD r,o- <!�:XCi All rights reserved. ,.. Named Insured: Jones Hall, A Professional Corporation Policy Number. 57SBANK7611 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED Additional Insureds When Required By Written Contract, Written Agreement Or Permit 6. Additional Insureds When Required By Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a through f below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other party or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard", but only if: (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury or "property damage" included within the "products- completed operations hazard ". (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily Injury", "property damage" or "personal and advertising injury' arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawing specifications; or (b) Supervisory, inspection, architectural or engineering activities Form SS 00 08 04 05 �'� O CERTIFICATE OF LIABILITY INSURANCE �oi6i�o1"5 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Caleader- Robinson Company, Inc. FB0267063 300 Montgomery St., Suite 888 San-Francisco CA 94104 CONTACT NAME: S_ arah. Sta. Ana PNOrtE (415)978 -3800 FAX (415)978 -3825 no Re :sstaaaafcalrob.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Sentinel Insurance Co., LTD 11000 INSURED JONES HALL, A PROFESSIONAL LAW CORPORATION 650 CALIFORNIA STREET, #1800 SAN FRANCISCO CA 94108 INSURER B:Re ublic Indemnity Co of Amer. 22179 INSURERC: INSURER D: INSURER E: $ 2,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx] OCCUR COVERAGES CFRTIFICATF NUMRFR -2015 -2016 Renewal. Certs. RFVISION Ni1MRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE INSURANCE POLICY NUMBER POLICY'EFF MM D POLICY EXP MM D OMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx] OCCUR 57SBANK7611 10/1/2015 10/1/2016 DAMAGE TO RENTE PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 4,000,000 Fx_]POLICYE� PRO 7 LOC ECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaacciden 2,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 57SBANK7611 10/1/2015 10/1/2016 BODILY INJURY (Per accident), $ X. ,PROPERTY DAMAGE Per accident) $ HIRED AUTOS X NON -OWNED AUTOS • UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAR CLAIMS -MADE DED X I RETENTION 10,00 $ 57SBANK7611 10/1/2015 10/1/2016 _- AND EMPLOYERS' LIABILOITY YIN WC TATU- OTH - X I TORY LIMITS FR E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 168749 -10 /1/2015 /1/2016 E.L. DISEASE - .EA EMPLOYE $ 11000,000 If Yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY.LIMIT 1 $ 1 000 000 A EMPLOYEE BENEFITS 57SBANK7611 10/1/2015 10/1/2016 EACH CLAIM $2,000,000 AGGREGATE $4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Re: Covered Loa. Deer Park CFD City of Gilroy is named as additional insured as per the attached endorsement - NOTE: 10 day notice of cancellation for non- payment of premium 4tK I Ir IL A I t r1ULUtK (:ANUtLLA 1 IUN sandra.meditch@ci.gilroy.c City of Gilroy Attn: Sandra A. Meditch, P.E. 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 00101051 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Sarah Sta. Ana /SSA P21`ca) Cc) 1QRR_9nin Ar-npn CC]RP(iPATIr) AI All rinhfo rn�crvnrl INS025 (201005).01 The ACORD name and logo are registered marks of ACORD r Named Insured: Jones Hall, A Professional Corporation Policy Number: 57SBANK7611 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED Additional Insureds When Required By Written Contract, Written Agreement Or Permit 6. Additional Insureds When Required By Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a through f below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other party or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products - completed operations hazard ", but only if: (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard ". (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily Injury", "property damage" or "personal and advertising injury' arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawing specifications; or (b) Supervisory, inspection, architectural or engineering activities Form SS 00 08 04 05 AC °R°® CERTIFICATE OF PRODUCER (415) 978 -3800 FAX: (415) 978 -3825 Calender- Robinson Company, Inc. FB0267063 300 Montgomery St., Suite 888 San Francisco CA 94104 INSURED JONES HALL, A PROFESSIONAL LAW CORPORATION 650 CALIFORNIA STREET, #1800 SAN FRANCISCO CA 94108 COVFRArFS e LIABILITY INSURANCE I 3/30/2015) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE LNAIC # INSURER A: Sentinel Insurance Co., LTD 11000 INSURERS Republic Indemnity Co of INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L T POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 . COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence_; $ 1_ 000_, 000 AJ CLAIMS MADE LX_ OCCUR 57SBANK7611 10/1/2014 _ 10/1/2015 MED EXP (Any one person) $ _ _, 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 4 , 0 0 0 , 0 0 0 POLICY PRO- LOC — -- - -- — -- -- - -- AUTOMOBILE LIABILITY ANY AUTO aaocdeDtSINGLELIMIT $ (E 2,000,000 A ALL OWNED AUTOS 57SBANK7611 10/1/2014 10/1/2015 BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS ~ - - - -- _ - - -- BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT I', $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA UABILITY _x EACH OCCURRENCE $ 1,000,000_ OCCUR CLAIMS MADE AGGREGATE $ 1, 000, 0 0 0 C$ A I i DEDUCTIBLE 57SBANK7611 10/1/2014 10/1/2015 $ - - - -- X I RETENTION $ 10,000 $ B WORKERS COMPENSATION WC STATU- I OTH -. X AND EMPLOYERS' LIABILITY YIN - TORY! IMZS._ _ _ _. _ER. ... ANY PROPRIETOR/PARTNER/EXECU I IVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? - - -- - - (Mandatory inNH) 168749 -10 4/1/2015 If yes. describe under 4/1/2016 E.L. DISEASE - EA EMPLOYEE $ -- - 1,000,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT i $ 1,000,000 A OTHEREMPLOYEE BENEFITS 57SBANK7611 10/1/2014 10/1/2015 EACH CLAIM $2,000,000 AGGREGATE $4,000,000 A BUS. PERSONAL PROP. 57SBANK7611 10/1/2014 10/1/2015 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: Covered Loc. Deer Park CFD City of Gilroy is named as additional insured as per the attached endorsement - NOTE: 10 day notice of cancellation for non - payment of premium K sandra.meditch @ci.gilroy.c City of Gilroy Attn: Sandra A. Meditch, P.E. 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2009/01) INS025 (200901).01 The ACORD name and logo ar :ANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE •r VV" ©1988-2009 ACORD CORPORATION. All rights reserved. regist ed marks of ACORD ACOREP DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/30/2015 PRODUCER (415) 978 -3800 FAX: (415) 978 -3825 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Calender- Robinson Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FB0267063 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 300 Montgomery St., Suite 888 San Francisco_ CA 94104 INSURED JONES HALL, A PROFESSIONAL LAW CORPORATION 650 CALIFORNIA STREET, #1800 INSURERS AFFORDING COVERAGE INSURER A: Sentinel Insurance Co., LTD INSURER B: Republic Indemnity Co of INSURER C: INSURER D l SAN FRANCISCO CA 94108 INSURER rOVFRAr.FS NAIC # 11000 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD -L POLICY EFFDECTIVE POTICY EXPIRATION TR POLICY NUMBER DATE LIMITS GENERAL LIABILITY EACH OCCURRENCE 2,000,000 $ DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES {(Eaoccurrencel $ 1,000,000 A CLAIMS MADE A I OCCUR 57SBANX7611 10/1/2014 10/1/2015 MEDE_XP( An, one parson, $ 10,000 PERSONAL BADVINJURY $ 2,000,0_00 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 4,000,000 PRO I II POLICY - LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO $ 2,000,000 (Ea accident) A ALL OWNED AUTOS 57SBANK7611 10/1/2014 10/1/2015 BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) - — PROPERTY DAMAGE $ (Per accident) I GAR_ AGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO $ r EA ACC _ OTHER THAN AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 X OCCUR F7 CLAIMS MADE _ AGGREGATE $ 11 0001000 $ — $ A DEDUCTIBLE 57SBANK7611 10/1/2014 Px 10/1/2015 I RETENTION $ 10,0001 $ B WORKERS COMPENSATION WC STATU- 1OTH- X ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER NH) EXCLUDED? (Mandatory ) 168749 -10 4/1/2015 14/1/2016 - E.L. DISEASE - EAEMPLOYEE$ 1,000,000 If describe under - -- Sxes, ECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A OTHERF.MPLOYEE BENEFITS 57SBANK7611 10/1/2014 10/1/2015 / I EACH CLAIM $2,000,000 AGGREGATE $4,000,000 A BUS. PERSONAL PROP. 57SBANK7611 10/1/2014 10/1/2015 T.TMTT $1,000,000 DESCRIPTION OF OPERATIONS i LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Gilroy is named as additional insured per the attached endorsement. *10 -Day Notice of Cancellation Applies for Non- Payment of Premium. CERTIFICATE HOLDER CANCELLATION Teresa.mack @ci.gilroy.ca.0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN City of Gilroy NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Teresa Mack IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 7351 Rosanna Street REPRESENTATIVES. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE I _1 ACORD 25 (2009/01) `r I I ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200901).01 The ACORD name and logo are registered marks of ACORD r ,aco CERTIFICATE OF LIABILITY INSURANCE DA /30 /DD/W ` 2015 --'� 3/30/5 PRODUCER (415) 978 -3800 FAX: (415) 978 -3825 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Calender- Robinson Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FB0267063 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 300 Montgomery St., Suite 888 San Francisco CA 94104 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Sentinel Insurance Co., LTD 11000 JONES BALL, A PROFESSIONAL LAW CORPORATION INSURER B: Republic Indemnity Co of 650 CALIFORNIA STREET, #1800 INSURER C: `INSURER D: SAN FRANCISCO CA 94108 INSURER E: COVFRAGFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR :ADD'` POLICY EFFECTIVE POLICY EXPI�RA RATION INS TR RI TYPE OF INSURANCE POLICY NUMBER AT MM D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2, 00 0 , 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) i $ 1,000,000 A _ CLAIMS MADE X OCCUR 57SBANK7611 10/1/2014 10/1/2015 — MED EXP (Any one person) $ 10,000 PERSONAL $ 2,000,000_ _ _BADVINJURY GENERAL AGGREGATE $ 4 000 000 PRODUCTS - COMP /OP AGG GEN'L AGGREGATE LIMIT APPLIES PER: $ 4,000,000 X POLICY I I PRO n LOC JECT _AU TOMOBILELIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) 2,000,000 A ALLOWNEDAUTOS 57SBANK7611 10/1/2014 10/1/2015 — BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY I$ X NON -OWNED AUTOS (Per accident) -- - — PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO - OTHER THAN EA ACC $ j AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 X j OCCUR CLAIMS MADE _ AGGREGATE $ 1,000,000 A DEDUCTIBLE 57SBANK7611 10/1/2014 10/1/2015 $ X RETENTION $ 10, 000 $ B X-TORY-LIMITS— OER I AND EMPLO ERS' LI ABILITY YIN i ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1, 000, 000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory inNH) 168749 -10 4/1/2015 4/1/2016 E.L. DISEASE - EA EMPLOYEE $ — -- 1,000,000_ If YYes, describe under SPECIAL PROVISIONS below - E.L. DISEASE - POLICY LIMIT $ - - - - - - - 1,000,000 A OTHEREMPLOYEE BENEFITS 57SBANK7611 10/1/2014 10/1/2015 EACH cLAix $2,000,000 AGGREGATE $4,000,000 A BUS. PERSONAL PROP. 57SBANK7611 10/1/2014 1 10 1 2015 $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS City of Gilroy, its officers, officials and employees are named as additional insureds on the general liability policy but only with respect to liability arising out of the named insured's operations or premises owned by or rented to the named insured with respect to formation of a landscape maintenance community facilities district. Note: 10 day notice of cancellation applies for non - payment of premium City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2009/01) INS025 (200901).01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 0(Xbjjy&,MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, A6D�` �Celra�tNdbi( AUTHORIZED REPRESENTATIVE 1 1 Q V ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registded marks of ACORD AC° CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER (415) 978 -3800 FAX: (415) 978 -3825 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Calender- Robinson Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FB0267063 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 300 Montgomery St., Suite 888 San Francisco CA 94104 INSURERS AFFORDING COVERAGE NAIC # JONES HALL, A PROFESSIONAL LAW CORPORATION 475 SANSONE STREET, SUITE 1700 SAN FRANCISCO CA 94111 INSURER A Sentinel Insurance Co. , LTD 13.000 INSURER B: Republic Indemnity Co of America INSURER C: INSURER D: INSURER E I:UV tKAbtJ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' C POLICY NUMBER POLICY EFFECTNE DA POUCY EXPIRATION DATE (MmthDNYYY1 LIMITS GENERAL LABILITY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 PREMISES Ea occurrence $ 1. 000 000 MED EXP (Any one person) $ 10 00.0 A I CLAIMS MADE ❑X OCCUR 57SEANK7611 10/1/2014 10/1/2015 PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 4,000,000 X POLICY n JEC LOC AUTOMOBILE LIABILITY EOMaBIINdEDtSINGLE LIMIT $ 2,000,000 ANY AUTO BODILY INJURY (Per person) $ A ALL OWNED AUTOS 57SBANK7611 10/1/2014 10/1/2015 SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE UABILI Y AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ 11000,000 AGGREGATE $ 1 OOO 000 X OCCUR CLAIMS MADE $ $ A DEDUCTIBLE 57SBANK7611 10/1/2014 10/1/2015 $ X RETENTION $ 10,000 WORKERS COMPENSATION X WC STATU- O R AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 EL.DISEASE - EA EMPLOYEE $ 1,000,000 B OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) 68749 -09 4/1/2014 4/1/2015 EL DISEASE - POLICY LIMIT $ 1,000,000 Ifyes,descr�eunder SPECIAL PROVISIONS below A OTHEREMPLOYEE BENEFITS 57sBANx7611 10/1/2014 10/1/2015 EACH CLAMS $2,000,000 AGGREGATE $4,000,000 A BUS. PERSONAL PROP. 57SBMX7611 10/1/2014 1 10/1/2015 T.TWrrT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Re: Covered Loc. Deer Park CFD City of Gilroy is named as additional insured as per the attached endorsement - NOTE: 10 day notice of cancellation for non - payment of premium GERIIFIGA 1 It MULUtK sandra.meditch @ci.gilroy.c SHOULD ANY OF THE ABOVE DES CRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Gilroy IMPOSE NO OBUGAMON OR UABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Attn: Sandra A. Meditch, P.E. 7351 Rosanna Street REPRESENTATIVES. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) 1 ©198 -2009 ACORD CORPORATION. All rights reserved. ... The er_nRn name and Innn are registered marks of ACORD POLICY NUMBER: 57SBANK7611 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - - -- DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Gilroy (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your work, operations or premises owned by or rented to you. Copyright, Insurance Services Office, Inc. 1984 DATE (MIWDONYYY) k �® CERTIFICATE OF LIABILITY INSURANCE 9/30/2014 PRODUCER (415) 978 -3800 FAX: (415) 978 -3825 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Calender- Robinson Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FB0267063 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 300 Montgomery St., Suite 888 San Francisco CA 94104 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER a Sentinel Insurance Co., LTD 11000 JONES HALL, A PROFESSIONAL LAW CORPORATION INSURER B: Republic Indemnity Co of America 475 SANSOME STREET, SUITE 1700 INSURER C: INSURER D: SAN FRANCISCO CA 94111 INSURER E: rnuroer_�e THE POLICIES OF (INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAN DING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' NSR TYPE OF INSURANCE POLICY NUMBER p OUCY IE pCTNE POLICY EXPIRATION UMW GENERAL LIABILITY - EACH OCCURRENCE $ 2,000,000 PREMISES E. occurrence) $ 1,000,000 X COMMERCIAL GENERAL LIABILITY A CLAIMS MADE ❑X OCCUR 7SBANK7611 10/1/2014 10/1/2015 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 4,000,000 X POLICY PRO n LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS 57SBMK7611 10/1/2014 10/1/2015 X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 X OCCUR F1 CLAIMS MADE AGGREGATE $ 1,000,000 $ A DEDUCTIBLE RX 57SBMK7611 10/1/2014 10/1/2015 $ RETENTION $ 10,00 WORKERS COMPENSATION X I WC STATU- 0TH - TORY LIMITS 1 LIABILITY AND EMPLOYERS' BILITY ANY PROPRIETOR/PARTNER/EXECUTIVE � E.L. EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 68749 -09 4/1/2014 4/1/2015 EL DISEASE - EAEMPLO $ 1,000,000 If SPECIAL OVISIONSbelow E.LDISEASE - POLICY LIMIT $ 1,000,000 A OTHERpleLOyEE BENEFITS 57SBANK7611 10/1/2014 10/1/2015 EACH CLAIM $2,000,000 AGGREGATE $4,000,000 A BUS. PERSONAL PROP. 7SBANK7611 10/1/2014 10/1/2015 T.TmTr $1,000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Gilroy is named as additional insured per the attached endorsement. *10 -Day Notice of Cancellation Applies for Non - Payment of Premium. CERTIFICATE HOLDER Teresa . mack @ ei . gilroy . ca , u SHOULD ANY OF THE DESCRIBED POLICIES BECANCEII ED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City Of Gilroy tn: Teresa Mack IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR At 7351 Rosanna Street REPRESENTATIVES. Gilroy, CA 95020 AUTHOR12ED REPRESENTATIVE ACORD 25 (2009/01) ©198 -2009 ACORD CORPORATION. All, rights reserved. INS025 (200601).01 The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 57SBANK7611 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - - -- DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Gilroy (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your work, operations or premises owned by or rented to you. Copyright, Insurance Services Office, Inc. 1984 '`�C° CERTIFICATE OF LIABILITY INSURANCE 9DATE ( /30/20D 14� PRODUCER (415) 978 -3800 FAX: (415) 978 -3825 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION. Colander- Robinson Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FB0267063 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 300 Montgomery St., Suite 888 San Francisco . CA 94104 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A:- Sentinel Insurance Co., LTD 11000 JONES HALL, A PROFESSIONAL LAW CORPORATION INSURER B: Republic Indemnity Co of America 475 SANSOME STREET, SUITE 1700 INSURER C: INSURER D: SAN FRANCISCO CA 94111 C INSURER E t.uvcrwvw OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAN DING THE POLICIES ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR tDD ' LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDUCCEM POLICY EXPIRATION UMW GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 ENTED PREMISES Ea occurrence $ 1,000,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 10,000 A CLAIMS MADE � OCCUR 7SBANK7611 10/1/2014 10/1/2015 PERSONAL BADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 4,000,000 PRO- X POLICY jEC 7 LOC AUTOMOBILE LIABILITY `E MBBIIN D SINGLE LIMIT $ 2,000,000 ANY AUTO BODILY INJURY $ A ALL OWNED AUTOS 57SBANK7611 10/1/2014 10/1/2015 (Per person) Ex SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (Per accident) X NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 X OCCUR 7 CLAIMS MADE $ $ A DEDUCTIBLE RX 57SEANK7611 10/1/2014 10/1/2015 $ RETENTION . $ i0,000 WORKERS COMPENSATION X WC STATUS OTH LIMITS I I ER OR AND EMPLOYERS' LIABILITY Y / N' ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 1,000,-000 E.LDISEASE - EAEMPLOYE $ 1,000,000 B OFRCER/MEMBER EXCLUDED? ❑ (Mandatory In NH) 68749 -09 4/1/2014 4/1/2015 EL DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below A OTHEREMPLOYEE BENEFITS 7sBmK7611 10/1/2014 10/1/2015 EA CB CLA32d $2,000,000 AGGREGATE $4,000,000 A BUS. PERSONAL PROP. - 7SBANK7611 10/1/2014 10/1/2015 T.Th4TT $1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS City of Gilroy, its officers, officials and employees are named as additional insureds on the general liability policy but only with respect to liability arising out of the named insured's operations or premises owned by or rented to the named insured with respect to formation of 'a landscape maintenance cc mm+m ty facilities district. Note: SO day notice of cancellation applies for non- payment of premium CERTIFICATE HOLDER GANULL IA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL AIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Gilroy Attn : Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 AUTHORGD REPRESENTATIVE kaw Ica ACORD 25 (2009/01) 1 ©1988 009 ACORD CORPORATION. All rights reserved. INS025 (20D9olpi The ACORD name and logo are registered marks of ACORD r POLICY NUMBER: 57SBANK7611 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL, INSURED - - -- DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Gilroy, its officers, officials and employees (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your work, operations or premises owned by or rented to you. Copyright, Insurance Services Office, Inc. 1984